Inspection on 09/12/05 for Larkswood

This inspection was carried out on 9th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Larkswood 02/10/06

Larkswood 09/08/05

Larkswood 14/01/05

Larkswood 17/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Larkswood 3 St Botolph`s Road Worthing West Sussex BN11 4JN Lead Inspector Mrs J Wright Unannounced Inspection 9th December 2005 03:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Larkswood Address 3 St Botolph`s Road Worthing West Sussex BN11 4JN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 202650 Sound Homes Limited Miss Marilyn Jones Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: Larkswood is a care home registered to accommodate up to eighteen residents aged sixty-five years and over. The home is a large detached property located in a residential area of Worthing about one mile from the town centre and seafront, close to local parks and gardens. Accommodation is provided on two floors with the facility of a passenger lift. Residents’ bedrooms are for single accommodation, with twelve having en-suite facilities. A lounge/dining area and a separate small lounge is provided. In addition there is a well-tendered garden. Sound Homes Ltd. privately owns the service and the registered manager is Miss Marilyn Jones. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was announced, was undertaken earlier in the year. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report or concerns raised about the home since the last inspection. The reader is advised to look at the reports of both inspections for a fuller picture of the home. The Manager was not present at the time of the inspection, however the person in charge, the Deputy Manager, very ably assisted the Inspector throughout the inspection. During this inspection the Inspector examined records of care being provided to the residents; as well as records of any accidents, issues, or complaints, to make sure that the residents at Larkswood were being taken care of. In addition, the Inspector talked to a visitor, shared a cup of tea with the residents and spoke to many of them about how they found living at Larkswood. The majority of comments made were very complementary with regard to the home, the food and the staff members. At this inspection Larkswood was audited against the National Minimum Standards for Older Persons. The vast majority of the elements in each of the standards assessed were met, however, although there was evidence that the majority of staff members have received the appropriate fire training, not all had and a requirement is made in this report for this matter to be addressed. A recommendation is also made for all staff members to have refresher training in the administration of medication. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: The residents, who the Inspector met on the day of inspection, spoke highly of the staff members, the food and their bedrooms. The building is maintained safely, and it was seen that parts of the home had recently been redecorated. The vast majority of the records required by the Inspector on the day of inspection, were found to be in order. A visitor to the home told the Inspector that she was made to feel very welcome when she visited the home and that the person she visited was very comfortable there. The Inspector was told that Larkswood does not use outside agency workers, thus ensuring that the residents always know their carers. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Each resident has a written contract/ statement of terms and conditions with the home. Residents and their representatives know Larkswood will meet their needs. EVIDENCE: The Inspector was shown a copy of the home’s statement of the terms and conditions, which contains all the requirements of the National Minimum Standards. The person in charge assured the Inspector that all residents and their representatives receive a copy. Evidence from care plans and staff training records confirmed that Larkswood was able to meet the assessed needs of the residents accommodated there. The Inspector was informed that specialist advice is sought where appropriate. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 The resident’s health, personal and social needs are set out in an individual plan of care and are reviewed regularly. Not all staff members are signing the record sheet each time they administer medication. EVIDENCE: Care plans of some residents were looked at during the course of the inspection, and it was noted that the care plans, including risk assessments, had been reviewed regularly. It was seen that there is lockable storage for medication. It was noted that some staff members had administered medicines but had not always signed to say that they had. A recommendation is made in this report for this matter to be addressed. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion, however these standards were met at the last inspection. EVIDENCE: Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: Residents told the Inspector they would be happy talking to the Manager or any staff member about any problems they might have. There were no complaints recorded at the time of this inspection. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20, 21, 23 and 24 Residents have access to safe and comfortable indoor and outdoor communal facilities. Residents live in safe comfortable surroundings with sufficient and suitable lavatories and washing facilities. Resident’s rooms suit their needs. EVIDENCE: The home was found to be clean and fresh, and to offer sufficient communal space to meet the standards, with separate sitting and dining areas. The Inspector was told previously of plans to build a conservatory, but there was no evidence of this at the time of this inspection. There is a large garden that is accessible to people in wheelchairs, or with other mobility problems. There are accessible toilets close to the communal sitting areas and the dining room. There was evidence that some decorating had taken place. On the day of inspection several doors were seen to be wedged open, the Deputy Manager was made aware of the safety implications surrounding this. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 Residents are in safe hands at all times EVIDENCE: The Inspector saw evidence of ongoing training by the staff at the home, and the Inspector was told that the Manager is very keen to ensure that the people who live at Larkswood are supported by staff members who have been trained to know what they are doing. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 36 and 37 The home’s accounting and financial procedures, record keeping and policies and procedures safeguard residents. Staff members are appropriately supervised. EVIDENCE: It is apparent that the needs of the residents are uppermost at Larkswood and that the home ensures that resident’s rights and best interests are safeguarded at all times. The inspector saw that insurance cover is in place to meet the National Minimum Standards and there is a business and financial plan for the home, which would be made available upon request. Residents are encouraged to manage their own affairs with the help of relatives or advocates. Larkswood was seen to offer formal bi-monthly supervision to all care staff. Non-care staff are also offered supervision. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X 3 3 X 3 3 X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 X 3 3 X Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP30 Regulation 23 Requirement That all staff members receive the required fire training Timescale for action 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP99 Good Practice Recommendations That all staff members have refresher training in the administration of medication. Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Larkswood DS0000014601.V265299.R01.S.doc Version 5.0 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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